Catherine Larsen
Kalispell,MT
Summary
High-achieving senior healthcare executive with proven track record of success leading and growing organizations. Strong background in strategic planning, financial management and team development. Skilled in identifying opportunities and implementing practical business strategies with commitment to staying informed about latest trends, technologies and best practices.
Overview
15
15
years of professional experience
Work History
Market President, Montana & VP Regional Operations
Main Street Health
01.2022 - Current
- Leading business development to expand innovation in rural care through partnerships, implementation and thought leadership in primary care practice support in Montana
- Regional operation responsibility for partners across Montana, Colorado, Arizona, New Mexico and Arizona, including implementations, clinical process and partnership efficiency management, delivering on organizational KPIs, partner management and oversight of staff performance
- Identified opportunities to improve business process flows and productivity.
- Increased company growth through collaboration with sales and marketing departments.
- Networking, collaborating, and bringing concepts from main business operations to Montana rural primary care
- Operations and consulting guidance for large hospital systems and large independent primary care to increase efficiencies and gains in population health-based processes
- Business growth in Montana of over 55,000 patient lives in 2 years and management of staff of 30 remote workers
- Oversight of $400M P&L, partnership relationships, data management, team development and day-to-day management and strategic development to build a successful business
Provider Engagement Lead, Humana Care Solutions
Humana
01.2021 - 01.2022
- Leading provider engagement, through strategy and innovation for national provider engagement and management under CMMI Direct Contracting model
- Lead in participant and preferred provider engagement, developing strategy and innovation based on medical economics analysis, current provider and patient population opportunities, and analysis of provider landscape by region
- Lead for provider recruitment for 2022 participant provider, educating both participant providers and Humana corporate partners on model, engaging in negotiations, contract development and execution, and provider onboarding for performance year success
- Responsible for synthesis of data, finance, strategy, and operations components for model success and managing coordination and project planning with individual provider partners
- Project management, documentation, and coordination of all providers, ensuring compliance, audit readiness, and engagement efficiency
- Responsible for model growth, meeting corporate metrics, and KPIs, and reporting to leadership on both current status and opportunities for national growth under the model
- Continue to be the subject matter expert for Humana, Inc on APM and QPP strategy and evaluating future CMMI opportunities for Humana expansion in the Original Medicare space
Kalispell Regional Health Center
Kalispell, MT
07.2018 - 01.2021
- Leader in population health initiatives and processes for healthcare system, including 300-bed regional tertiary hospital, 47 outpatient clinics, and 4 critical access hospitals
- Oversight of all ambulatory quality programs including ACO, MIPS, CPC+, and HEDIS quality programs
- Leader in clinical shared governance and educational initiatives for patients, staff, and community on population health initiatives
- Leadership in care management development, including oversight of clinical teams responsible for annual wellness visit management, transitions of care management, development of screening and resources addressing social determinants of health and engagement of clinical staff on process improvement for patient care across care continuum
- Oversight of team of 35 clinical care coordinators and data analysts, primary care management and primary care integrated health systems
- Systems level leader for quality and process improvement across 5 counties and over 40,000 attributed lives
- Responsible for payer relations, contract and financial management, analysis and planning for 9 primary care clinics, and systems level finances for MIPS and ACO
- Ongoing organizational education development in ambulatory quality, with collaboration across clinical, executive, and community levels
- Oversight of employee wellness and benefit management, Community Health Needs Assessment, and accompanying Health Improvement Plan
- Responsible for leadership and strategy for community-based initiatives including developing action for homeless patients and sustainable housing, increasing access to healthy foods through food prescription programs, employee wellness, and youth development programs, and developing strategy for healthcare-based transportation methods
- Leader in county-level initiatives to develop stronger behavioral and mental health service access and collaboration with other healthcare system leadership to identify and develop key strategic projects aimed at closing gaps in these support services
- Chair of Executive Health Plan Committee, Virtual Health, and ACO
- Organizational expert on EMR quality tools and data analytics platforms
- COVID specific duties included development, training, support, and ongoing engagement of virtual healthcare platforms and processes to over 600 practitioners across northwest Montana
- Development and management of COVID drive through tent results response and triage of patients and development of data analytics tool to determine patient eligibility of COVID treatment access and ongoing monitoring dashboard.
Toiyabe Indian Health Project, Inc.
Bishop, CA
01.2015 - 05.2017
- Leading two Centers for Disease Control and Prevention grants focused on community wellness initiatives driving to reduce chronic disease burden in AI/AN and rural California populations through lens of increasing access to healthy eating, active living and smoking cessation
- This role included managing RFP and sub-award grants management process, project management for 7 AI/AN and rural communities, developing and conducting project research to provide informed decision process at local, state and federal level, grants management to CDC, and reporting and building community coalitions to drive future community health action
- Collaboration with Public Health Institute, State of California DPHHS, and other large system healthcare providers to improve on best practices, share implementation and metrics monitoring for projects, and engage leadership in funding and resourcing opportunities to AI/AN and rural populations
- Routine reporting to CDC on project goals, objectives and metrics indicating chronic disease reduction in seven AN/AI and rural communities
- Management of various specialty projects including national youth food sustainability conference, regional food system and active living conferences, bike sharing programs in five communities, oversight of community gardens and regional food hub networking, and strategic planning for community governments on improving engagement and built environment projects
- Oversight of seasonal employees for various healthy food initiatives including their onboarding, timekeeping and allocation of duties.
Bishop Paiute Tribe
Bishop, CA
05.2013 - 12.2014
- Oversight of multiple greenhouses and operations that propagated native plants for watershed restoration project and community education as well as oversight of three VISTA AmeriCorps students and support staff of three
- Management of native community gardens and indigenous food initiatives, which resulted in increase in local knowledge and engagement of traditional food processes
- Development of coalition for indigenous food hub coalition and increased youth education on native plant uses processing and propagating.
Libby Clinic, LLC
Libby, MT
02.2011 - 03.2013
- Oversight of patient care for General Practice, OB/Gyn, and Pediatric clinic including phlebotomy, surgical assistance, and another in-house testing
- Oversight of clinic vaccinations, supply ordering, and staff scheduling.
Agnew::Beck Consulting LLC
Anchorage, AK
02.2010 - 12.2010
- Assisted in the oversight of community development and grant research and writing supporting rural Alaskan communities
- Role included development and oversight of en-newsletter and list serve publication
- Oversight of a team of 4 assistants.
Education
Masters of Healthcare Administration -
Colorado State University
Colorado Springs01.2018
Bachelors of Science - Conservation Social Science and Sustainability of Natural Resources
University of Idaho
Moscow12.2005
Skills
- Healthcare finance management and health system partnership development
- MSSP, Value Base Contract, Direct Contracting, Medicare Innovation subject matter and strategy expert
- Strategic planning, development, and management for overall clinical quality improvement
- Population Health, clinical and medical economic strategy, and process improvement expert
- Contract development, negotiation, and management
- Board of Director engagement and education
- HEDIS, STARS and eCQM expertise
- P&L ownership, budgeting and management
- Data analysis, data mapping, technical support for quality measures
- SDOH based community development and strategic planning
- Grant writing, grants management and project development and oversight
- Project management
- Proficient in using Meditech, BCA, Optum, Cerner, Compass, and other payer specific portals
- Developing community engagement initiatives including CHIP, health fairs, educational seminars
- Large, diverse team development and management, oversight, payroll, and reporting
Timeline
Market President, Montana & VP Regional Operations
Main Street Health
01.2022 - Current
Provider Engagement Lead, Humana Care Solutions
Humana
01.2021 - 01.2022
Kalispell Regional Health Center
Kalispell, MT
07.2018 - 01.2021
Toiyabe Indian Health Project, Inc.
Bishop, CA
01.2015 - 05.2017
Bishop Paiute Tribe
Bishop, CA
05.2013 - 12.2014
Libby Clinic, LLC
Libby, MT
02.2011 - 03.2013
Agnew::Beck Consulting LLC
Anchorage, AK
02.2010 - 12.2010
Masters of Healthcare Administration -
Colorado State University
Bachelors of Science - Conservation Social Science and Sustainability of Natural Resources
University of Idaho
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